Individual
DR. MITCHELL GARY PROFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14402 69TH AVE, FLUSHING, NY 11367-1710
(718) 268-9080
(718) 544-2381
Mailing address
14402 69TH AVE, FLUSHING, NY 11367-1710
(718) 268-9080
(718) 544-2381
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X2684
NY
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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